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Controlled Breathing With or Without Peppermint Aromatherapy for Postoperative Nausea and/or Vomiting Symptom Relief: A Randomized Controlled Trial

      Purpose

      With little scientific evidence to support use of aromatherapy for postoperative nausea and/or vomiting (PONV) symptoms, this study evaluated controlled breathing with peppermint aromatherapy (AR) and controllled breathing alone (CB) for PONV relief.

      Design

      A single blind randomized control trial design was used.

      Methods

      On initial PONV complaint, symptomatic subjects received either CB (n = 16) or AR (n = 26) intervention based on randomization at enrollment. A second treatment was repeated at 5 minutes if indicated. Final assessment occurred 10 minutes post initial treatment. Rescue medication was offered for persistent symptoms.

      Findings

      Among eligible subjects, PONV incidence was 21.4% (42/196). Gender was the only risk factor contributing to PONV symptoms (P = .0024). Though not statistically significant, CB was more efficacious than AR, 62.5% versus 57.7%, respectively.

      Conclusions

      CB can be initiated without delay as an alternative to prescribed antiemetics. Data also support use of peppermint AR in conjunction with CB for PONV relief.

      Keywords

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      Biography

      Debra S. Sites, MHA, BSN, RN, is a Day Surgery Staff Nurse, Catawba Valley Medical Center, Hickory, NC

      Biography

      Nancy T. Johnson, BSN, RN, formerly was a Day Surgery Staff Nurse, Catawba Valley Medical Center, Hickory, NC

      Biography

      Jacqueline A. Miller, MSN, RN, NE-BC, is a Director for Day Surgery/PACU, Catawba Valley Medical Center, Hickory, NC

      Biography

      Pauline H. Torbush, RN, CAPA, is a Day Surgery Staff Nurse, Catawba Valley Medical Center, Hickory, NC

      Biography

      Janis S. Hardin, BSN, RN, CPAN, is a PACU Staff Nurse, Catawba Valley Medical Center, Hickory, NC

      Biography

      Susan S. Knowles, MSN, RN-BC, is a Clinical Nurse Manager, Gaston Memorial Hospital, Gastonia, NC

      Biography

      Jennifer Nance, BSN, RN, is Director of Alexander County Home Health, Alexander County Home Health, Taylorsville, NC

      Biography

      Tara H. Fox, MSN, CRNA, is a Staff Nurse Anesthetist, Catawba Valley Medical Center, Hickory, NC

      Biography

      Rebecca Creech Tart, PhD, is the Director for Research and Evidence-Based Practice, Catawba Valley Medical Center, Hickory, NC